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To apply download a rental application or fill out the form below.

Rental Application


Desired Date of Move-In

Desired lease term (check one)
 12 months 6 months Other (please specify):

Unit Type
 Efficiency 1 BR 2 BR Furnished Fireplace Washer/Dryer Hookups

Other (specify):

Applicant Information

Name (full legal name)

Social Security Number

Home Phone

Work Phone

Driver's License/ID Number

Driver's License/ID State

Name of Occupants and Relationship to Applicant

Name: Relationship

Name: Relationship

Name: Relationship

Applicant / Occupant Vehicle(s)

Car 1

Make and Model:
Year:
Tag:

Car 2

Make and Model:
Year:
Tag:

Car 3

Make and Model:
Year:
Tag:

Employment History

Current Employer

Name and Address

Phone

Supervisor

Length of Employment
Beginning

Still employed?
 Yes No

Previous Employer

Name and Address

Phone

Supervisor

Length of Employment
Beginning Ending

Rental History

Current Address

Dates lived at this address:
From To

Reason for leaving

Landlord/Manager

Landlord/Manager's Phone

Previous Address

Dates lived at this address:
From To

Reason for leaving

Landlord/Manager

Landlord/Manager's Phone

Income

Gross Monthly Employment Income Before Deductions:

Gross Monthly Income From Other Sources (average):

TOTAL GROSS MONTHLY INCOME:

Credit and Financial Information

Banking and Financial Accounts

Checking

Institution Name Branch


Savings

Institution Name Branch


Credit Accounts

Credit Card Type
Amt Owed $
Monthly Payment $

Credit Card Type
Amt Owed $
Monthly Payment $


Vehicle Loan: Type of Vehicle
Monthly Payment $

Vehicle Loan: Type of Vehicle
Monthly Payment $


Other:
Type
Creditor
Monthly Payment $

Miscellaneous

Do you have pets?

 Yes No

If so, describe:
NOTE: There may be additional fees and/or deposits required for pets housed on
premises. In addition, specific rules and regulations regarding pets may apply.

Do you smoke?

 Yes No

Do you plan to have water-filled furniture on the rental property?

 Yes No

If yes, detail below:

Have you ever been evicted?

 Yes No

If yes, explain below:

Have you ever been convicted of a felony?

 Yes No

If yes, explain below:

Have you ever filed for bankruptcy?

 Yes No

If yes, explain below:

Applicant Personal References

Reference 1

Name

Relationship

Address

Phone

Known this reference how long?

Reference 2

Name

Relationship

Address

Phone

Known this reference how long?

Reference 3

Name

Relationship

Address

Phone

Known this reference how long?

Applicant Emergency Contact Information

Contact Name Relationship
Emergency Contact Address Phone

I hereby certify and affirm that all information provided above is true and correct. I fully understand that
my lease or rental agreement may be terminated if I have made any false, misleading or incomplete
statement(s) in this application. I hereby authorize verification of all information provided in this
application, including financial and credit information, via credit bureaus and/or contact with current and
previous employers, current and previous landlords and personal references.

Applicant Date